Digital interventions may be the prescription for men who habitually avoid the doctor
As June marks Men's Health Month , it casts a spotlight on a persistent challenge – South African men are significantly less likely than women to seek medical advice or attend regular health screenings. Despite increased access to health information in today's digital age, many men remain under-engaged in managing their own health. Using hypertension as an example, studies show men lag behind in hypertension awareness and treatment - often due to sociocultural norms, economic pressures, and limited healthcare access during working hours. Health experts and industry leaders are now calling for a shift in approach to better support men in managing their long-term health, starting with how to use digital resources effectively.
While men are active internet users, they tend to search for health-related information online far less frequently than women. A large-scale German study involving more than 950 patients, found that women are not only more inclined to search for health information online, but also do so with stronger emotional and social motivations.
The study also revealed that men and women differ in how they interact with healthcare professionals online. Men, for instance, showed more interest in developing virtual relationships with their general practitioners, such as through online consultations, booking appointments digitally and receiving test results via email. These findings suggest that digital health tools should be tailored differently for men and women – with women responding more to socially driven, engaging content and men potentially benefiting more from structured virtual health services offered by GPs and clinics. Similar patterns of gender differences in online health-seeking behaviour have been observed in studies from various countries, indicating that this trend is consistent across different cultures and regions worldwide.
Artificial Intelligence (AI) is revolutionising healthcare by providing personalised health information and recommendations. AI-powered chatbots and virtual assistants can offer immediate responses to health queries, helping men make informed decisions about their health. These tools can guide users on when to seek professional medical advice, interpret symptoms and even schedule appointments.spokesperson for Pharma Dynamics, Nicole Jennings,, emphasised the importance of leveraging digital tools for health. 'Men often delay seeking medical advice due to various reasons, including societal expectations and time constraints. Embracing digital health tools can bridge this gap, offering accessible and immediate health information that encourages proactive health management,' she said.

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Daily Maverick
15 hours ago
- Daily Maverick
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The right to informed consent Viruly described her role as a doula: 'to be a witness, but also a coach'. Describing her experience of working in public hospital maternity wards in the Western Cape, she highlights how many women have lost control over the birthing experience due to institutional protocols and lack of informed consent: 'Doctors often rattle off information and instructions to an expectant mother, and sometimes even gaslight her, making her doubt the realities of things that happen during the birthing process. The role of the doula is to say 'yes that did actually happen' and to translate instructions/information from doctors into mother-centric language that she can understand. ' As a 'witness', Viruly explained, the role of a doula is to validate a woman's birthing experience and help her to understand her options, the information and instructions given. 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This begs the question: are women free to make their own choices about how they give life, and if so, 'choice' under what circumstances? The fight for birth justice represents resistance: standing for informed choice, bodily autonomy, and maternal dignity in spaces where these are too often denied. The cultural roots of over-medicalisation Anthropologist Robbie E Davis-Floyd famously critiqued the 'technocratic model of birth' in American obstetrics in the 1980s, describing it as a cultural belief system that treats women's bodies as machines to be managed. Davis-Floyd (1987) notes that 'the hospital operates like an assembly line, with labour and delivery processes geared toward producing a perfect baby, often at the expense of the mother's experience'. Obstetrics, Davis-Floyd writes, is unlike other medical specialities, in that it does not deal with true pathology in most cases it treats (most pregnant women are not sick). Obstetrics as it is practised today is challenged by the natural childbirth and holistic health movements that critique the biomedical method of managing a birthing mother's body as if it were a 'defective machine'. Birth activism in a broken system The reasons for the increased C-sections are complex: risk management, institutional convenience, legal pressures, and in some cases financial incentives. These justifications nonetheless reflect a profound distrust in women's bodies and a systemic sidelining of their voices. Genesis Maternity Clinic, once a sanctuary for natural birth in Johannesburg, permanently closed in 2023. The closure, wrapped in corporate platitudes, signalled not just the loss of a facility—but of an idea: that birth can be both safe and centred on the mother. Although the press statement on the closure issued by Life Healthcare Group (the clinic's owner) stated that 'there are several quality private natural birthing clinics in Gauteng to consider', this was unverifiable. The statement goes on to thank patrons of the sunken ship, as well as the as well as 'employees […] midwives, doulas, obstetricians, paediatricians and other allied healthcare professionals.' Together with the WHO stats of increased C-section rates globally, the closure of Genesis in Joburg and Viruley's 'lay off' in Cape Town makes one wonder if there is no fight left against medicalised motherhood, or are alternate methods just not popular or not offered much anymore. Whose choice is it really? While some women are denied essential medical interventions, others are subjected to them unnecessarily. Globally, about 1.9 million stillbirths occurred in 2023 — many preventable with proper care. Meanwhile, in the US, a C-section can cost upwards of $13,600 (about R230,000). Geography and economics often determine not only birth outcomes, but whether a woman has a say in how she gives life. DM The Zoe Project Based in Cape Town, this nonprofit organisation is dedicated to supporting vulnerable women, girls and babies through comprehensive maternal healthcare programmes. It provides: Doula/birth companions: Providing emotional and physical support during labour and delivery. Antenatal classes: Educating expectant mothers on pregnancy, childbirth and newborn care. Postnatal support: Assisting new mothers with breastfeeding, nutrition and emotional wellbeing. Bereavement doula services: Offering comfort and guidance to families experiencing pregnancy loss or stillbirth.

The Star
19 hours ago
- The Star
SA men are dying too young men are dying too young – and it's time to talk about it
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IOL News
20 hours ago
- IOL News
SA men are dying too young men are dying too young – and it's time to talk about it
Prostate cancer – the most common cancer among men – is highly manageable when caught in its early stages. Yet stigma and fear, especially around how screenings are conducted, discourage men from seeking help, says the writer. One silent crisis continues to claim lives: men's health. Across South Africa, men are suffering – and dying – in silence. The reasons? Fear, stigma and a deeply ingrained culture of avoidance when it comes to medical check-ups and health screenings. This Men's Health Month, we are calling on men of all ages to take charge of their well-being by prioritising regular health screenings, embracing healthier habits, and speaking openly about both physical and mental health challenges. Too many men only visit a doctor when it's already too late. We need to normalise proactive care because prevention is far more powerful than a cure. The stats speak for themselves South African men are living, on average, seven years less than women, with an average life expectancy of just around 62 years for men, compared to 69 years for women. This stark difference is largely due to avoidable health risks, late diagnoses and a lack of health-seeking behaviour such as preventative care. A concerning trend is the high rate of late-stage prostate and testicular cancer diagnoses among South African men. Prostate cancer – the most common cancer among men – is highly manageable when caught in its early stages. Yet stigma and fear, especially around how screenings are conducted, discourage men from seeking help. Many men dread the rectal exam. But times have changed. A simple PSA blood test is now an initial screening option for men over 40 years old. More invasive tests are only needed if red flags are raised. Men are encouraged to perform frequent testicular self-exams and to undergo annual prostate screenings to catch problems early, before they become life-threatening. The hidden threats Beyond cancer, men face higher risks of chronic illnesses such as diabetes, high blood pressure, heart disease and mental health disorders – often diagnosed too late due to delayed healthcare consultations. Lifestyle-related risks, including poor diet, lack of exercise, excessive alcohol use and tobacco consumption, further worsen outcomes. What about mental health? Still taboo. Men are far less likely than women to seek help for depression, anxiety, or suicidal thoughts, leading to rising substance addiction and suicide rates. Men also lag in HIV and TB testing, treatment and adherence, with only a few going for testing and treatment, and taking precautionary measures. It's time to flip the script. Going for regular check-ups isn't a weakness – it's being responsible. It's a strength, and it's how we stay alive for the people who count on us.' Men are encouraged to take small but consistent steps: Schedule annual health screenings Adopt a balanced diet and exercise regularly Manage stress and mental well-being Stay informed and proactive about their health When detected early, most health problems are manageable or even reversible. Men, your health matters. Speak up. Show up. Live longer. Dr Lee Moses, Medical Advisor: Advisory Risk and Quality Management at Bestmed Medical Scheme